Old McDonald is unable to work on his farm and is very stressed. It is your job to collect all of the animal products to help him out. Answer questions to collect the items and you'll be the best farm hand around!
start
Chickens and their eggs
Collect chicken eggs for each correct answer
x0
x0
x0
x0
x0
x0
x0
x0
Start
question 1/8
A 75 y/o F is back in her room after a procedure. The procedure was stressful and went longer than scheduled according to the note. While looking at her chart, it is noted that her glucose it elevated and she has no dx of diabetes. Why is she experiencing hyperglyemia?
Stress response to the procedure
She had undiagnosed diabetes
Collect
The procedure caused her to develop diabetes
During a stressful situation, such as her procedure, glucose levels can elevate as part of the stress response.
Cluck, Cluck...
continue
question 2/8
A patient with schizophrenia suddenly tells you "He's here and he's going to come get me!" What is the appropriate nursing response?
"Did you take your meds today?"
Collect
"He is not coming to get you"
"I know the voices sound scary. He is not here and this is just because of your illness"
It is important to remind the patient that the hallucinations are not real and it is a part of her illness. This can help her accept and understand that it is not real
Cluck, Cluck...
continue
question 3/8
What is the best way for a nurse to build trust with a patient diagnosed with schizophrenia?
Sitting directly next to the patient while speaking with them
Staying consistent, reliable, and honest during patient interactions
Collect
Only giving out certain information with the patient about your personal life
Staying consistent and trustworthy will make the patient feel more comfortable discussing things with you
Cluck, Cluck...
continue
question 4/8
A patient with schizophrenia is admitted to the ED with the following symptoms: lip smacking,tongue pretrusion, difficulty swallowing, and rapid eye blinking. What is the anticipated diagnosis?
Ataxia
Collect
Tardive Dyskinesia
Rhabdomylosis
This would be the likely diagnosis due to the antipsychotics the patient would be on, as this can be an adverse effect
Cluck, Cluck...
continue
question 5/8
What is a life threatening condition that can occur as an adverse effect of antipsychotics?
Neuroleptic Malignant Syndrome
Diabetic Ketoacidosis (DKA)
Collect
Miocardial Infarction
NMS is rare, but can occur when taking antipsychotics. It includes symptoms of a high fever, muscle rigidity, tremors, and altered mental status.
Cluck, Cluck...
continue
question 6/8
An elderly patient in the medical/surgical unit with dementia becomes increasingly confused and agitated before going to bed. What is happening in this case scenario?
Nothing, this happens in all dementia patients
Collect
The patient is noncompliant with their care plan
The patient is sundowing
Increased confusion and agitation in a patient, usually with demenita, that occurs at nighttime is referred to as "sundowning"
Cluck, Cluck...
continue
question 7/8
Which of these clinical manifestations is NOT a symptom of delerium?
Inabilitiy to answer questions
Increased response to the environment
Collect
Mood swings
Patients will experience decreased response to the environment around them
Cluck, Cluck...
continue
question 8/8
To determine if a patient is experiencing reversible confusion, they will use a CAM test. What does CAM stand for?
Cognitive Assessment Method
Collect
Confusion Assessment Method
Confusion Assessment Model
It is the Confusion Assessment Method and is one of the first tests performed after initial assessment
Cluck, Cluck...
continue
Well done! The chickens and Old McDonald are greatful for your service.
Cluck, Cluck...
continue
Cows and their milk
Milk the cows for each correct answer
x8
x0
Start
x0
x0
QUESTION 1/4
A patient becomes increasingly confused and agitated after being diagnosed with a urinary tract infection. What should the primary nursing intervention be?
Assess the clients vital signs
Reorient the client
Milking
Reduce the stimulation in the room
Assessing vital signs should be the priority if there is an acute change in status
Mmoooo...
continue
QUESTION 2/4
A nurse is provideing education for a patient with schizophrenia about managing stress. Which statement by the patient would indicate the need for further teaching?
Milking
"I will avoid situations that stress me out"
"I will stop my medication if I feel anxious"
"I will try deep breathing if I feel anxious"
You should not stop your medication if you feel anxious, medications can take a couple of weeks to work but if you continue to feel anxious you should notify your provider before cessation.
Mmoooo...
continue
question 3/4
A patient is at risk for stress induced deleirum following an intense procedure. Which nursing intervention should be implemented to prevent this?
Keep the room dim and blinds closed
Milking
Don't allow any visitors
Fequently orient the client
Frequent orientation is important to prevent confusion
Mmoooo...
continue
question 4/4
A patient just lost her husband and is expressing her feelings to the nurse. She looks at the nurse and says "I just don't know how to go on without him". What should the nurse respond with?
"I can see that this is hard for you. What do you do when you feel lonely?"
Milking
"Death is just a part of life"
"Why do you feel you can't go on without him?"
This helps the patient explain their coping mechanisms and recognizes their feelings
Mmoooo...
continue
Great Job! Only two more pens to go
Mmoooo...
continue
Pigs and their food
Feed the pigs for each correct answer
x8
x4
x0
x0
Start
QUESTION 1/4
A nurse is caring for a patient with acute delerium. Which room setup would be appropriate for this patient?
Feed
Personal belongings and familiar things can help ease stress and make patients feel more comfortable
OinK, oink...
continue
QUESTION 2/4
A patient with acute delerium is approached by a nurse. What posture should the nurse have to promote trust?
Feed
The nurse should sit beside the patient and use eye contact to promote trust and reduce stress
OinK, oink...
continue
QUESTION 3/4
Which of these images shows an effective coping mechanism?
Feed
Listening to music would be an example of a good coping mechanism
OinK, oink...
continue
QUESTION 4/4
Which of these patients is exhibiting signs of stress?
Feed
A patient with their head in their hands could be showing signs of stress. It would be important to approach the patient and see if they are okay using theraputic communication
OinK, oink...
continue
Fantastic Job! Only the sheep left
OinK, oink...
continue
Sheep and their wool
Shearing sheep wool for each correct answer
x8
x4
Start
x4
x0
question 1/4
A patient reports that they see someone standing in the corner, even though there is nobody there. This would be an example of what?
Hallucination
Delusion
Shearing
A ghost
A hallucination is seeing something that is not there, whereas a delusion is believing something despite other evidence
Beeeehehe...
continue
question 2/4
Which of the following is a clinical manifestation of stress for a patient?
Hypoventilation
Shearing
Slowed speech
Tachycardia
A patient's heart rate will elevate when they experience a stress response.
Beeeehehe...
continue
question 3/4
Which of these would be an example of an internal stressor?
Emotions
Shearing
Natural Disaster
Divorce
Emotions are internal stressors, the other options are environmental stressors
Old mcdonald's farm
Madison Paintner
Created on October 15, 2025
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Transcript
Old mcdonald's farm
Old McDonald is unable to work on his farm and is very stressed. It is your job to collect all of the animal products to help him out. Answer questions to collect the items and you'll be the best farm hand around!
start
Chickens and their eggs
Collect chicken eggs for each correct answer
x0
x0
x0
x0
x0
x0
x0
x0
Start
question 1/8
A 75 y/o F is back in her room after a procedure. The procedure was stressful and went longer than scheduled according to the note. While looking at her chart, it is noted that her glucose it elevated and she has no dx of diabetes. Why is she experiencing hyperglyemia?
Stress response to the procedure
She had undiagnosed diabetes
Collect
The procedure caused her to develop diabetes
During a stressful situation, such as her procedure, glucose levels can elevate as part of the stress response.
Cluck, Cluck...
continue
question 2/8
A patient with schizophrenia suddenly tells you "He's here and he's going to come get me!" What is the appropriate nursing response?
"Did you take your meds today?"
Collect
"He is not coming to get you"
"I know the voices sound scary. He is not here and this is just because of your illness"
It is important to remind the patient that the hallucinations are not real and it is a part of her illness. This can help her accept and understand that it is not real
Cluck, Cluck...
continue
question 3/8
What is the best way for a nurse to build trust with a patient diagnosed with schizophrenia?
Sitting directly next to the patient while speaking with them
Staying consistent, reliable, and honest during patient interactions
Collect
Only giving out certain information with the patient about your personal life
Staying consistent and trustworthy will make the patient feel more comfortable discussing things with you
Cluck, Cluck...
continue
question 4/8
A patient with schizophrenia is admitted to the ED with the following symptoms: lip smacking,tongue pretrusion, difficulty swallowing, and rapid eye blinking. What is the anticipated diagnosis?
Ataxia
Collect
Tardive Dyskinesia
Rhabdomylosis
This would be the likely diagnosis due to the antipsychotics the patient would be on, as this can be an adverse effect
Cluck, Cluck...
continue
question 5/8
What is a life threatening condition that can occur as an adverse effect of antipsychotics?
Neuroleptic Malignant Syndrome
Diabetic Ketoacidosis (DKA)
Collect
Miocardial Infarction
NMS is rare, but can occur when taking antipsychotics. It includes symptoms of a high fever, muscle rigidity, tremors, and altered mental status.
Cluck, Cluck...
continue
question 6/8
An elderly patient in the medical/surgical unit with dementia becomes increasingly confused and agitated before going to bed. What is happening in this case scenario?
Nothing, this happens in all dementia patients
Collect
The patient is noncompliant with their care plan
The patient is sundowing
Increased confusion and agitation in a patient, usually with demenita, that occurs at nighttime is referred to as "sundowning"
Cluck, Cluck...
continue
question 7/8
Which of these clinical manifestations is NOT a symptom of delerium?
Inabilitiy to answer questions
Increased response to the environment
Collect
Mood swings
Patients will experience decreased response to the environment around them
Cluck, Cluck...
continue
question 8/8
To determine if a patient is experiencing reversible confusion, they will use a CAM test. What does CAM stand for?
Cognitive Assessment Method
Collect
Confusion Assessment Method
Confusion Assessment Model
It is the Confusion Assessment Method and is one of the first tests performed after initial assessment
Cluck, Cluck...
continue
Well done! The chickens and Old McDonald are greatful for your service.
Cluck, Cluck...
continue
Cows and their milk
Milk the cows for each correct answer
x8
x0
Start
x0
x0
QUESTION 1/4
A patient becomes increasingly confused and agitated after being diagnosed with a urinary tract infection. What should the primary nursing intervention be?
Assess the clients vital signs
Reorient the client
Milking
Reduce the stimulation in the room
Assessing vital signs should be the priority if there is an acute change in status
Mmoooo...
continue
QUESTION 2/4
A nurse is provideing education for a patient with schizophrenia about managing stress. Which statement by the patient would indicate the need for further teaching?
Milking
"I will avoid situations that stress me out"
"I will stop my medication if I feel anxious"
"I will try deep breathing if I feel anxious"
You should not stop your medication if you feel anxious, medications can take a couple of weeks to work but if you continue to feel anxious you should notify your provider before cessation.
Mmoooo...
continue
question 3/4
A patient is at risk for stress induced deleirum following an intense procedure. Which nursing intervention should be implemented to prevent this?
Keep the room dim and blinds closed
Milking
Don't allow any visitors
Fequently orient the client
Frequent orientation is important to prevent confusion
Mmoooo...
continue
question 4/4
A patient just lost her husband and is expressing her feelings to the nurse. She looks at the nurse and says "I just don't know how to go on without him". What should the nurse respond with?
"I can see that this is hard for you. What do you do when you feel lonely?"
Milking
"Death is just a part of life"
"Why do you feel you can't go on without him?"
This helps the patient explain their coping mechanisms and recognizes their feelings
Mmoooo...
continue
Great Job! Only two more pens to go
Mmoooo...
continue
Pigs and their food
Feed the pigs for each correct answer
x8
x4
x0
x0
Start
QUESTION 1/4
A nurse is caring for a patient with acute delerium. Which room setup would be appropriate for this patient?
Feed
Personal belongings and familiar things can help ease stress and make patients feel more comfortable
OinK, oink...
continue
QUESTION 2/4
A patient with acute delerium is approached by a nurse. What posture should the nurse have to promote trust?
Feed
The nurse should sit beside the patient and use eye contact to promote trust and reduce stress
OinK, oink...
continue
QUESTION 3/4
Which of these images shows an effective coping mechanism?
Feed
Listening to music would be an example of a good coping mechanism
OinK, oink...
continue
QUESTION 4/4
Which of these patients is exhibiting signs of stress?
Feed
A patient with their head in their hands could be showing signs of stress. It would be important to approach the patient and see if they are okay using theraputic communication
OinK, oink...
continue
Fantastic Job! Only the sheep left
OinK, oink...
continue
Sheep and their wool
Shearing sheep wool for each correct answer
x8
x4
Start
x4
x0
question 1/4
A patient reports that they see someone standing in the corner, even though there is nobody there. This would be an example of what?
Hallucination
Delusion
Shearing
A ghost
A hallucination is seeing something that is not there, whereas a delusion is believing something despite other evidence
Beeeehehe...
continue
question 2/4
Which of the following is a clinical manifestation of stress for a patient?
Hypoventilation
Shearing
Slowed speech
Tachycardia
A patient's heart rate will elevate when they experience a stress response.
Beeeehehe...
continue
question 3/4
Which of these would be an example of an internal stressor?
Emotions
Shearing
Natural Disaster
Divorce
Emotions are internal stressors, the other options are environmental stressors
Beeeehehe...
continue
question 4/4
What does the HPA axis consist of?
Hypothalamus, Posterior Pituitary Gland, Adrenal Coretex
Hypothalamus, Anterior Pituitary Gland, Adrenal Cortex
Shearing
Hypothalamus, Pons, Amygdala
Hypothalamus, Anterior Pituitary Gland, Adrenal Cortex are the parts
Beeeehehe...
continue
Congragulations! You all did such a great job helping Old McDonald!
Beeeehehe...
continue
All right, daily chores done!
x4
x4
x4
x4
FInalize
CONGRATULATIONS! Old Mcdonald appreciates your service!
start over?
It got dark and you haven't finished your daily chores!
...
...
back